Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
J Adv Nurs. 2018 Apr;74(4):760-773. doi: 10.1111/jan.13470. Epub 2017 Nov 9.
To describe the characteristics of couple-based intervention studies that address sexuality following cancer.
Sexuality-related problems are common among cancer survivors and their partners.
Systematic literature review with a narrative summary of results.
Electronic searches were conducted in PubMed, CINAHL and PsychINFO. We included studies published from 1 January 2009 - 31 December 2016. Additional information was retrieved by scrutinizing reference lists, conducting citation tracking and contacting authors. We included all types of quantitative intervention studies published in the English language which contained outcome measures corresponding to the neo-theoretical framework of sexuality-sexual function, sexual relationship and sexual self-concept.
Our review was guided by the Joanna Briggs Institute reviewer's manual. Data were extracted and appraised using the standardized checklists for quantitative studies. This assessment was conducted independently by two reviewers. A third reviewer was involved if consensus could not be reached.
Fourteen studies were included. Interventions were delivered face-to-face, by telephone or via the Internet. Sessions ranged from 1-8, with a duration from 2-22 weeks. Most studies offered ≥3 sessions. Interventions addressed unique concerns and/or provided general education. There was little agreement on the use of outcome measures. Most studies inadequately described fidelity to the study protocol and the training of interventionists.
There was no clear consensus about how couple-based interventions are best structured. The results provide tentative evidence for how the quality of future research studies can be improved and how knowledge can be used in clinical practice.
描述针对癌症后性生活的夫妻为基础的干预研究的特点。
癌症幸存者及其伴侣常存在与性生活相关的问题。
对文献进行系统综述，结果以叙述性总结呈现。
在 PubMed、CINAHL 和 PsychINFO 中进行电子检索。我们纳入了 2009 年 1 月 1 日至 2016 年 12 月 31 日期间发表的研究。通过仔细审查参考文献、进行引文追踪和联系作者获取了额外信息。我们纳入了所有类型的以英语发表的定量干预研究，这些研究包含与性-性功能、性关系和性自我概念新理论框架相对应的结果测量。
我们的综述由 Joanna Briggs 研究所审查员手册指导。使用定量研究的标准化检查表提取和评估数据。两名审查员独立进行评估。如果无法达成共识，则由第三名审查员参与。
纳入了 14 项研究。干预措施是面对面、通过电话或互联网提供的。疗程从 1 次到 8 次不等，持续时间从 2 周到 22 周不等。大多数研究提供了≥3 次疗程。干预措施针对独特的问题和/或提供一般教育。在使用结果测量方面几乎没有达成一致意见。大多数研究都没有充分描述对研究方案的遵从性和干预者的培训。
对于夫妻为基础的干预措施应如何最佳构建，尚无明确共识。研究结果提供了有关如何提高未来研究质量和如何将知识应用于临床实践的初步证据。
